I'm 26 with clots in my right leg. I have factor 5 leaden and protein s... and c deficits. I'm in 10 mg of warfarin. My inr/pt is at 2.7.
I had a DVT attack (Pulmonary TE) 3 years back. After the clot was dissolved, I have been put on warfarin, which is managed by checking my PT/INR every month. Your PT/INR at 2.7 is well within the ideal range for a warfarin user. So, what is the swelling that you are referring to? If it is a fluid collection in your lower limb (oedema), suggest you see your health provider as soon as possible.
It is going to take about a year for the clot to be completely gone from your leg. It is a slow process even though you are in the therapeutic range. Where is the clot, calf and lower or the popliteal vein and above? Have you tried wearing a compression sock? It will help with the edema in your ankle and calf. Ask your doc if the sock should be 20-30mm or 30-40mm. It will depend on it location and you amount of swelling.
I had two DVTs in my left leg with swelling in my calf and ankle. I have Factor V Leiden. My PT/INR is within normal range but my ankle still swells when I sit or stand too long. My doctor said, because of the stress put on the veins from the clots, that their resilience is weakened, therefore, leading to poor circulation and a pooling of liquid in the tissues. I bought a large wedge to put under my feet at night or whenever, plus a therapeutic compression sock to wear. The swelling goes down in a day or two. Walking everyday aslo helps with the swelling. Good luck!
It's very possible that you could have post thrombotic syndrome. Swelling, pain and sometimes discoloration of the skin is associated. It occasionally gets better with time but for others that have multiple clots in the same place, it's more likely to continue unfortunately. Talk to your doctor about it first though and wear your compression stockings!!
- Warfarin Information for Consumers
- Warfarin Information for Healthcare Professionals (includes dosage details)
- Side Effects of Warfarin (detailed)
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